School Form 1 (SF 1) School Register

School ID 123062 (This replaces

Region VIII Form 1, Master List & STS Form 2-Family Background
Division and Profile)
Northern Samar District Lavezares I
School Name Enriqueta Elementary Schoo School Year 2017 - 2018 Grade Grade 3 Section KALACHUCHI
Contact
Age MOTHER GUARDIAN Number

Sex (M/F)
ADDRESS PARENTS REMARKS
NAME as of TONGUE IP (if Not Parent) of
BIRTH DATE RELIGIO Father's Name Mother's
LRN (Last Name, First Name, Middle
(mm/dd/yyyy)
Aug (Grade (Ethnic N
House #/
(Last Name, Maiden Name
Parent
(Please refer
Name) ust 1 to 3 Group) Street/ Municipality Relationsh or
Barangay Province First Name, (Last Name, Name to the legend
Only) Sitio/ / City ip Guardia
31st Middle Name) First Name, on last page)
Purok n
Middle
AVECIA,
Christia NORTHERN ANDIASON,EN
123062140001 AVECIA,PRINCE CHOI ENSAG M 11-10-2008 8 Waray ENRIQUETA LAVEZARES ROCILER
nity SAMAR SAG,LOVELY,
GACOSCOSIN

DELINELA,
Christia NORTHERN CULTIVO,ENTI
123062140002 DELINELA,ROMMEL ENTICO M 01-03-2009 8 Waray ENRIQUETA LAVEZARES RONIE
nity SAMAR CO,MARITES,
ABENDANO
ESQUILLO,
Christia NORTHERN BIDO,MARILYN
123062140003 ESQUILLO,ALDRIN JR TIDALGO M 08-30-2008 9 Waray ENRIQUETA LAVEZARES ALDRIN
nity SAMAR ,TIDALGO,
PULGAR SR
GALERO,
GALERO,PETER MICHAEL Christia NORTHERN BARREDA,MIC
123075140009 M 02-13-2009 8 Waray ENRIQUETA LAVEZARES PEDRO
BARREDA nity SAMAR HELLE,TURLA,
MIRANDA JR
GENTO,
Christia NORTHERN NOGA,ELIZAB
123062140005 GENTO,BARRY NOGA M 01-21-2009 8 Waray ENRIQUETA LAVEZARES REYNALDO
nity SAMAR ETH,ORTIS,
MENSORADO
5 <=== TOTAL MALE
ACMA,
Christia NORTHERN CAGSAWA,MY
123062140007 ACMA,ANNICA CAGSAWA F 10-12-2008 8 Waray ENRIQUETA LAVEZARES BERNABE
nity SAMAR RA,BANES,
MALAQUE
Christia NORTHERN AREVALO, ENORME,FE,P
123062140008 AREVALO,ARIENNE ENORME F 12-20-2008 8 Waray ENRIQUETA LAVEZARES
nity SAMAR ELMER ENAIS URIGAY,
CASTILLO,
Christia NORTHERN ENAGE,PASAM
123062140009 CASTILLO,ANECIL PASAMBA F 12-03-2008 8 Waray ENRIQUETA LAVEZARES JEFFREY
nity SAMAR BA,MARISSA,
ABENDANO
CUPIDO,
CUPIDO,ANDREA BIANCA Christia NORTHERN ABAYON,MARI
123062140010 F 11-06-2008 8 Waray ENRIQUETA LAVEZARES JERWIN
ABAYON nity SAMAR NEL,ENTICO,
DINEROS
ESTOLAS,
Christia NORTHERN CERBITO,MYR
123062140012 ESTOLAS,RICHELL CERBITO F 11-07-2008 8 Waray ENRIQUETA LAVEZARES RANNEL
nity SAMAR NA,LUCBAN,
BAUTIZARE

FAJARDO, MONARES,JOS
Christia NORTHERN
123062140013 FAJARDO,ANALIZA MONARES F 08-19-2008 9 Waray ENRIQUETA LAVEZARES ROLANDO EPHINE,GERO
nity SAMAR
ESCALDERON Y,

OLIGARIO,
Christia NORTHERN ORIA,SYLVIA,R
123062140014 OLIGARIO,RENNIELYN ORIA F 09-24-2008 8 Waray ENRIQUETA LAVEZARES JULIUS
nity SAMAR USCO,
GUARICO
SOLANA, CABALLEDA,JO
SOLANA,RIESHELYN Christia NORTHERN
123062140015 F 07-20-2008 9 Waray ENRIQUETA LAVEZARES RICARDO CELYN,LISOND
CABALLEDA nity SAMAR
SENOCBIT IA,
8 <=== TOTAL FEMALE
13 <=== COMBINED

List and Code of Indicators under REMARKS column

Cod Cod Prepared by; Certified Correct:
Indicator Required Information Indicator Required Information REGISTERED BoSY EoSY
e e
Transfered Out T/O Name of Public (P) Private (PR) School & CCT Receipient CCT CCT Control/reference number &
MALE 5 ROMULO DIN CUPIDO JR
Effectivity Date Effectivity Date
Balik Aral B/A CECILIA FRANCISCO CORRIGE (Signature of School Head over Printed
Transfered In T/I Name of Public (P) Private (PR) School & Name of school last attended & Year Name)
(Signature of Adviser over Printed
Effectivity Date Learner With LWD FEMALE 8 Name)
Disability Specify
Dropped DRP Reason and Effectivity Date Accelerated ACL BoSY Date: EoSY Date:
LE Reason (Enrollment beyond 1st Friday of Specify Level & Effectivity Data TOTAL 13
BoSY Date: EoSY Date:

Generated on: Tuesday, May 1, 2018

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